Basic Information
| Provider Information | |||||||||
| NPI: | 1487183315 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AP COUNSELING | ||||||||
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| Mailing Information | |||||||||
| Address1: | 515 W 12TH ST | ||||||||
| Address2: | |||||||||
| City: | ALLIANCE | ||||||||
| State: | NE | ||||||||
| PostalCode: | 693012412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3087605731 | ||||||||
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| Practice Location | |||||||||
| Address1: | 815 FLACK AVE | ||||||||
| Address2: | |||||||||
| City: | ALLIANCE | ||||||||
| State: | NE | ||||||||
| PostalCode: | 693012722 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3087622904 | ||||||||
| FaxNumber: | 3082174277 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2017 | ||||||||
| LastUpdateDate: | 06/05/2017 | ||||||||
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| AuthorizedOfficialLastName: | PRICE | ||||||||
| AuthorizedOfficialFirstName: | ALLISON | ||||||||
| AuthorizedOfficialMiddleName: | MARIE | ||||||||
| AuthorizedOfficialTitleorPosition: | MENTAL HEALTH PRACTITIONER | ||||||||
| AuthorizedOfficialTelephone: | 3087602904 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | LMHP, LPC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | 4899 | NE | Y | Agencies | Community/Behavioral Health |
ID Information
| ID | Type | State | Issuer | Description | 1932646080 | 05 | NE | MEDICAID |